Crowns & Bridges

Crowns are a tooth shaped “cap” that covers the entire tooth. They are cemented, or bonded, onto existing teeth or implants. Crowns are a good option for extending the life of a tooth by adding support and strength.  Crowns are used when a tooth has a large fracture,  has a large filling that needs to be replaced due to deterioration or re-decay, has pain when biting down, after a root canal, or to cover an implant. Crowns can also  be used to improve the shape, color and alignment of a tooth. Crowns are made of porcelain, porcelain fused to gold, or all gold. The newer porcelains allow the crown to more closely resemble a natural tooth, and are very strong. Crowns are a long lasting way to restore, or improve the appearance of a tooth.

Bridges are a series of crowns attached together.  An option for replacing a missing tooth, or teeth, bridges work by spanning the gap between existing teeth. The crowns are cemented or bonded to the existing teeth and support a “dummy” tooth, known as a pontic, in between to replace the missing tooth, or teeth. Bridges can be a long lasting restoration, but do need good at home oral care.

Crown and Bridge Procedure

Crowns and bridges usually need two appointments to complete. The tooth will be shaped and a temporary crown will be placed at your first appointment. The final restoration will be cemented, or bonded, at the second appointment.

During the first appointment the area will be anesthetized and a preliminary impression taken of the tooth. The dentist will then prepare the tooth by removing a thin layer off the top and sides of the tooth, and it will be shaped to be able to accept the new crown. Impressions of the prepared tooth and of the opposing teeth will be taken for submission to the dental lab. The preliminary impression will be used to fabricate a temporary crown, which will be temporarily cemented in place.

When you come in for your second appointment the temporary crown will be removed and your new restoration will be fitted and adjustments made, if necessary, so it feels totally natural and comfortable. The restoration will then be cemented or bonded in permanently, and a final check of the bite done. Follow up at-home care will be reviewed, and will be demonstrated if you are receiving a bridge. You will be able to chew with your new crown or bridge as soon as you leave the office!